326 NE 94 St (5)THESE PLANS ARE APPROVED
tR WITH NUARIANCE [� .1\
0 OTHER DEVIATIONS FROM THE
ORDINANCES WILL BE PERM TTED.
€L OTHERNRL(ZBLE STA
WITH BY ALL PARTIES.
FOR ISSUANCE O,: A BUILDING
VARIA"' _�ETED IN "('
WWI! S''" ^EQ BUILDING A "'D
UNLF:i SPECIFIrs,ALIY LISTED
1:543./.5:V LAWS MUST BE
Author het S'gn,ture
PERMIT
s,FA '
ZONING
BELOW.
COMPLIED
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FIRE DEPPIRTMENT
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POLICE DEPARTMENT
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PLANNING & ZONING BOARD
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VILLAGE COUNCI
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PREL AR
REMARKS:
FINAL:
`
COMPLIANCE Ih1TH
BY MIAMI SHO
SUB CONTRACTORS
ING REGULATICNS
THE SOUTH
iES VILLAGE IS REQUIRED.
ARE CHARGED
W& 01
FLORIDA BUILDING: CODE AS ADOPTED
THE ARCHITECT, BUILDER &
WITN Thc: VOWLEDGE OF ALI. BUILD-
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APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Date
Owner's Name and Address I4. 2 E' • S/ /A/Ar
Registered Architect and /or Engineer
Name and address of licensed contractor_ .1 0 l .
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 3 1--6 S
State work to be done and purpose of building (by floors )J4' _S_T_W , ______1__se iZ S_ k V PP — s--- / LO 0 !?
r1 1CAP G s' K/i rfs C/9.i.. vi�C Tim .%f'�t' mV,[ 4 iti.e
r9AeA • TA ceY
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foun ation Roof Covering
Estimated Total cost of improvements $__ Z � Amount of Permit $
Zone cubage required _Plan Cubage
Distance to next nearest building i _Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)/
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No
Disapproved pp
(Signed) _ 6.�g,.
MIAMI SHORES VILLAGE
Date
D
BUILDI NG INSPECTION DEPARTMENT --
Chairman
Member
Member
Council Approved Date
NOTE: A charge of $1.00 will be made for making corrections
the Planning Board.
A re- inspection fee of $1.00 will be charged when such
materials and /or workmanship.
S/9L�S
No.___,
- C o.
Building Inspe or
LANNING BOARD DATE
r
Read, Sworn to and Subscribed before me.
Street 44/ 9 Y S 7;
Notary Public, State of Florida
My Commission Expires
Member
Member
Member
Disapproved Date
or changes to this application after approval has been obtained from
re- inspection is made necessary by improper notice for inspection or faulty
y J Y so/
77 /V 9 FE o �
OVO
417